Volvulus (peds)

Revision as of 16:28, 28 October 2011 by Dapoon (talk | contribs) (→‎Background)

Background

  • 2 types: Sigmoid and cecal volvulus
  • Surgical emergency
  • Can occur at any time
    • 50% of cases occur in 1st mo of life, 90% w/in 1st yr

Diagnosis

Clinical Presentation

  • Sudden-onset bilious vomiting
  • Abd pain (constant) & distention
  • Shock and peritonitis

Imaging

  • Should not delay surgical consult
  • AXR
    • Loop of bowel overlying liver
    • Evidence of obstruction
      • Air-fluid level, paucity of gas

DDx

  1. Intussusception
  2. Duodenal stenosis/atresia
  3. Bowel perforation
  4. Sepsis

Treatment

  • Immediate surgical consultation
  • Aggressive resuscitation

Source

Tintinalli

Retrieved from "https://www.wikem.org/w/index.php?title=Volvulus_(peds)&oldid=6575"